Abstract
Managed care organizations can produce conflicts of obligation and conflicts of interest that may lead to problems of conscience for health care professionals. This paper provides a basis for understanding the notions of conscience and conscientious objection and offers a framework for clinicians to stake out positions grounded in personal conscience as a way for them to respond to unacceptable pressures from managers to limit services.
MeSH terms
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Complicity
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Conflict of Interest*
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Conscience*
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Contracts
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Deception
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Delivery of Health Care
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Disclosure
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Dissent and Disputes
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Employment
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Fees and Charges
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Gatekeeping
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Government Regulation
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Group Processes
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Health Care Rationing
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Health Maintenance Organizations
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Humans
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Jurisprudence
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Managed Care Programs*
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Moral Obligations*
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Morals
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Motivation*
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Patients
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Physicians*
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Politics
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Public Policy
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Referral and Consultation
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Resource Allocation
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Social Control, Formal
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Social Responsibility*
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Truth Disclosure
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Utilization Review
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Whistleblowing
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Withholding Treatment